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Case of the Week

Editor: Mahmut Akgul (akgulm@amc.edu)

2022-37/September 19

Contributors: Alicia Kenyon, Li Li

A man in his 30s presents with a left testicular 2.3 cm cystic mass with marked heterogeneity, concerning for a malignant neoplasm. The patient had a left testicular surgery performed in childhood with unclear indication. Serological studies include: LDH 140, AFP 5.3, and beta-HCG < 3.

Click on the below thumbnails to enlarge photos.

2 photo(s) Updated on: September 17, 2022


1. What is the correct diagnosis?

a) Embryonal carcinoma and hydrocele

b) Yolk sack tumor and epidermoid cyst

c) Seminoma and epidermoid cyst

d) Lymphoma and hydrocele

e) Choriocarcinoma and epidermoid cyst

About GUPS

The Genitourinary Pathology Society (GUPS) was formed with the vision of advancing the care of patients with urologic diseases through enhancements of best practices, research, and education in the subspecialty of Urological Pathology.

GUPS is an official Companion Society of the United States and Canadian Academy of Pathology (USCAP).



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